About one-third of Medicare ACOs have until Feb. 19 to decide if they want to renew their Medicare Shared Savings Program contract in light of changes made to the program. The ACOs say that's not a lot of time to figure out if they should assume more risk.
The CMS is giving new accountable care organizations one month to apply to a new program forcing them to take on more risk. But the providers say that deadline is far too short.
The CMS will give Medicare ACOs that take financial risk expanded access to waivers of the three-day inpatient stay rule for coverage of skilled-nursing facility care.
Medicare Next Generation accountable care organizations produced $129 million in savings for the CMS in 2017 while earning an average of $3.3 million each in bonuses for beating cost targets and meeting quality benchmarks.
Under the redesigned program, ACOs can choose to participate in either the basic or enhanced track, and they will have to take on risk sooner or be booted out of the program.
Physicians aren't buying into CMS and private pay models that make them take on downside risk. A key reason? They're accountable for costs they can't control.
Nearly half of accountable care organizations surveyed said they now intend to stay in the Medicare Shared Savings Program even though they could be facing downside risk soon, a change of heart from previous surveys.
Accountable care organizations choose their risk levels in the Medicare Shared Savings Program, and few are willing to assume more risk at this time.
Twenty-nine Next Generation ACOs have formed a coalition to advocate for changes to that CMS model, which they argue deters long-term financial sustainability in the program.
Heritage Provider Network founder and CEO Dr. Richard Merkin says his goal is to continually push the envelope and try things that haven't been done before.
The Medicare Shared Savings Program generated $1.84 billion in savings over three years, which is nearly twice the savings CMS data show, according to a new study commissioned by the National Association of ACOs.
Medicare saved $82 million through a program in which the CMS loaned rural providers money to launch accountable care organizations.